Chapter 202 Medical insurance price announcement (please subscribe, please monthly ticket)
Seeing the patient in front of him with a face filled with joy, and even walking out of the outpatient room with a little excitement, Director Dai couldn't help but feel very pleased.
It is not common to see such a smile on the face of a patient with early stage lung cancer.
After a while, he took a breath and slowly put down the phone in his hand.
But as soon as he put the phone on the desk, he picked it up again.
Quickly finding Zhang Yang’s WeChat account, he quickly sent a message to Zhang Yang before the next patient calling for his number came in:
“Mr. Zhang, thank you! The price you gave is so surprising. !”
After sending this message, Director Dai put down his phone again, but before he could close the screen, a new message suddenly appeared in the chat box.
"Haha! I didn't expect you, Director Dai, to be paying attention too!"
"But this is not a surprise, it is just our normal pricing."
Director Dai didn't expect Zhang Yang to reply so quickly. Seeing that the patient had just walked in, he simply continued:
"I'm very surprised!"
"I was in the outpatient clinic today, and there was a patient just now. Just mentioned the price of 'curing ablation agent', I didn't expect to pay I turned on my phone and happened to see the price you announced!”
“Not only me, but also the patient was very excited when he found out. I really want to thank you!”
Director Dai said quickly! After sending three messages, until the end, he suddenly thought of another question.
Medical insurance reimbursement.
As a grassroots front-line doctor, he knows very well that although the price of Qingshan Pharmaceutical's "Lung Cancer Curing Ablation Agent" has been announced, countless cancer patients must have another topic of greater concern:
Can this drug be reimbursed? If so, how much can it be reimbursed for?
Seeing that several messages had been sent on WeChat, Director Dai hesitated for a moment. Since the topic had come to this point, he simply asked:
"Mr. Zhang, I have something else to do. I would like to ask you, is our 'curing ablation agent' included in medical insurance? ”
"In other words, can you briefly disclose the current medical insurance reimbursement status of this drug? Have we discussed it with the Medical Insurance Bureau?"
"Of course, if it is not convenient for you to disclose it, I will understand. "The main reason is that if a patient asks, I can explain it easily, so I have an idea."
Director Dai even waited for the news this time.
To be honest, medical insurance is too important to ordinary people. This can be said to be the topic that all patients are most concerned about.
But after half a minute, Zhang Yang still didn’t reply. Just when Director Dai was about to start consulting the next patient, the phone with the screen off turned on a message.
Director Dai hurriedly picked it up and took a look:
"Director Dai, there is nothing inconvenient."
"To be honest, we have not yet negotiated with the medical insurance about the 'cured ablation agent' , there is no clear statement from the medical insurance.”
“Well...so I’m afraid it won’t be included in the medical insurance in a short time.”
“We haven’t discussed it yet...”
Director Dai was slightly disappointed:
"Okay Mr. Zhang, then I won't disturb you anymore, I have to go to the outpatient clinic too!"
"Okay!"
A slightly disappointed mood spread in Director Dai's heart. Not only Director Dai, but also Zhang Yang was quite confused.
In fact, every time Tsingshan Pharmaceutical develops a significant or groundbreaking drug, the National Medical Insurance Center will come to discuss the matter of inclusion in medical insurance as soon as possible.
For example, Icofenprofovir was used to cure hepatitis B.
But this time not only did he not receive a call from his old acquaintance, Liu Weiguo, the "Drug Tendering and Procurement Department" of the Medical Insurance Center, Ren Xiaomin also did not receive any information from the Medical Insurance Center.
This is so strange!
Just when Zhang Yang was a little confused, far away in the capital, in the headquarters building of the Medical Insurance Bureau, a high-level meeting was going on.
The theme of this meeting is about the newly developed "Lung Cancer Curing Ablation Agent" developed by Tsingshan Pharmaceutical.
"Dear leaders, I have made my point of view very clear just now!"
"Qingshan Pharmaceutical has always had a good cooperative relationship with our Medical Insurance Bureau, and now their 'Lung Cancer Curing Ablation Agent' has passed According to the usual practice, we should start negotiations with Qingshan Pharmaceutical to include it in medical insurance!”
"In this way, once it is put on the market, countless patients will be able to enjoy our medical insurance reimbursement policy as soon as possible!"
"So I suggest that the leaders quickly approve it. With approval, we will immediately start working with Qingshan Let’s talk about the pharmaceutical industry!”
The speaker in the conference room was Liu Weiguo, deputy director of the Pharmaceutical Tendering and Procurement Department, who had a close relationship with Zhang Yang.
In front of him were several real senior leaders of the Medical Insurance Bureau.
After a while, a leader on the front left suddenly coughed and said:
"Deputy Director Liu, your proposal is good, but I have also explained it to you. This time Qingshan Pharmaceutical's 'Lung Cancer Curing Ablation Agent' is not an ordinary drug, but a surgical agent. This is one of the reasons!"
"Second, this drug is It must be a high-value drug. "
"According to the internal regulations of our Medical Insurance Bureau, any high-value drug must be included in medical insurance with great caution. It must first confirm whether its therapeutic effect is irreplaceable, and then analyze the price and Including the reimbursement ratio of medical insurance, and finally going through the process of approval by various departments to start negotiations with pharmaceutical companies. ”
"The current situation is that this drug has no real market applications, and even the price has not been announced! At this time, we are going to negotiate with Qingshan Pharmaceutical to include it in medical insurance. Even if he prescribes 100,000 a pill, will we still negotiate? Can my medical insurance fund afford it?"
"So, I clearly refuse to start medical insurance negotiations with Qingshan Pharmaceutical now. Even if it is included in medical insurance, we will wait until it is listed!"
The words fell. Another leader on the side also took over.
“I also agree with Deputy Director Yang’s statement just now.”
“This drug is used to treat lung cancer, and the price will definitely not be cheap. At this time, we rashly started negotiations with Qingshan Pharmaceutical and took the initiative to All the power falls into the hands of Qingshan Pharmaceutical, which is inappropriate!”
The two leaders refused without hesitation, and Liu Weiguo couldn't help but sigh in his heart.
In fact, a month ago, he and his colleagues in the bidding and procurement department were ready to negotiate with Qingshan Pharmaceutical for inclusion in the medical insurance catalog.
It’s just that the Medical Insurance Bureau does stipulate that high-value drugs must wait until they are put on the market and confirmed through clinical studies that they are necessary to be included in medical insurance before going through the process and starting negotiations.
He also knew that he was a little anxious!
However, he has reached the position of deputy director step by step from the bottom. He has seen too much suffering in the world!
After a moment, he raised his head and prepared to try again.
“Leaders, I know there are regulations in the bureau, but!”
“This drug from Qingshan Pharmaceutical has been unanimously recognized by major hospitals and patients during the clinical trial stage. , the effect of the surgery is beyond doubt!”
"And as far as I know, countless early-stage lung cancer patients across the country are currently waiting for this drug to be launched..."
"They are not only waiting for this drug to be launched, they are also looking forward to us. Can it be included in medical insurance quickly?”
"Everyone knows that early-stage lung cancer cannot be delayed. Let us solve this problem as soon as possible. Those patients with lung cancer can also enjoy preferential medical insurance reimbursement as soon as possible and get better treatment!"
After the words fell, the atmosphere in the entire conference room suddenly became a little heavy.
After a few seconds of silence, finally, a leader sitting at the top coughed slightly and spoke slowly:
"Guowei, I understand how you think about these patients. , in fact, I also hope that these effective drugs can be included in the Medical insurance! "
"But this time, Qingshan Pharmaceutical's 'Lung Cancer Curing Ablation' is indeed a high-value drug. They have just developed it, and there are no competing products on the market. At the same time, the effect is indeed not bad. They You can’t sell it for a few thousand yuan, right?”
"So, when including it in medical insurance, we must also consider the affordability of our medical insurance fund..."
"If you insist on starting negotiations with Qingshan Pharmaceutical immediately, unless...their drugs are better than traditional drugs Pulmonary resection surgery is still cheap, or about the same, otherwise just follow the normal procedure!" Liu Weiguo's expression suddenly fell helplessly. Is it about the same cost as traditional resection surgery? !
Isn’t this bullying?
How is that possible!
"Zhang Jue, if you say that, I really have nothing to say. What you are saying is completely impossible!"
"How can their new drug cost the same as traditional surgery..."
But before he finished speaking, suddenly, there were several clear knocks on the door of the conference room.
After receiving permission, the door was pushed open a crack, and a cautious head was revealed.
Liu Weiguo was slightly startled, this is his assistant.
"Xiao Zhu, what's wrong? What's the emergency?!"
The young man named Zhu's eyes lit up, and excitement suddenly appeared on his face:
"Director, you asked me to pay attention to Yes, the price of Qingshan Pharmaceutical's 'Lung Cancer Curing Developer' has been announced!"
"Announced?"
Liu Weiguo looked startled, a little surprised!
"Yeah!"
Xiao Zhu said hurriedly:
"The prices just announced have a total of three price points, namely 50,000 yuan for 15 ml, 70,000 yuan for 30 ml, and 100,000 yuan for 45 ml. Yuan!”
“One For an average lung cancer patient, 15 ml is enough! I just asked a professional doctor, and they said that if the cost of surgery is included, the maximum cost is about 55,000 yuan!"
"How much is it? About a thousand?”
"Yeah! It's about 55,000! The price is almost the same as traditional minimally invasive surgery before reimbursement!"
After the words fell, Liu Weiguo suddenly burst into laughter two seconds later.
After a moment, he turned to look at the leaders sitting next to him:
"Zhang Bureau, you just said that if the 'solidified ablation agent' and traditional minimally invasive surgery You can support negotiating with Qingshan Pharmaceutical immediately!”
“I will start negotiating with Qingshan Pharmaceutical to be included in medical insurance!”
The leaders sitting above were also slightly stunned, and they looked at each other. No one expected that Qingshan Pharmaceutical's newly launched pricing would be so "reasonable."
......
Patients, doctors and even the medical insurance bureau were all surprised by the pricing of Qingshan Pharmaceutical's "Lung Cancer Curing Ablation Agent". Zhang Yang soon also noticed the negative comments about himself and himself on the Internet. Evaluation of Qingshan Pharmaceutical.
Looking at the words of thanks one after another, Zhang Yang felt quite pleased at this moment, everything was worth it!
In the office of Qingshan Pharmaceutical, Zhou Xiaomei sneaked over to see Zhang Yang while delivering information.
Seeing Zhang Yang laughing out loud from time to time at the comments on his mobile phone, Zhou Xiaomei couldn't help but chuckle and said:
"Brother, I know you have a good reputation on the Internet now... Look at your face, it's almost crooked with laughter. If you read the comments again, you will probably start to drift off.”
Zhou Xiaomei’s relationship with Zhang Yang has developed rapidly in the past two years, and the two have already established a romantic relationship.
"What's wrong with my smile? The patients all praise me, which means I'm doing the right thing! You can't even make me happy!"
"Okay, okay!"
Zhou Xiaomei walked quickly behind Zhang Yang, gently squeezed Zhang Yang's shoulders, and said:
"I can completely understand the gratitude of patients on the Internet to my brother. Speaking of which, I was once one of them. "
"Even until now, I think it was my brother who saved me."
Zhang Yang smiled slightly. He knew that Zhou Xiaomei said that she suffered from "aplastic anemia" before.
It was precisely because I developed "ITG human myelopoietin" that I finally saved my little sister.
"By the way, brother, isn't this medicine included in the medical insurance yet?"
Zhang Yang also frowned and shook his head. To be honest, he wanted to call Director Liu Weiguo.
But at this moment, the cell phone on the desk suddenly rang a clear ringtone. He glanced at it and suddenly sat up straight.
“Little sister, you really follow your words, whatever you say comes to you!”
“Look, Director Liu from the medical insurance company called, and he’s probably here to talk about business!”
After saying that, Zhang Yang immediately pressed the answer button.
"Hey, Director Liu, I haven't received your call for a long time..."
...
The speed of medical insurance is very fast.
To be precise, Liu Weiguo is very efficient.
That afternoon, Liu Weiguo and three of his colleagues flew to Qingshan Pharmaceutical. After several hours of negotiations, Liu Weiguo and three of his colleagues flew back to the capital early the next morning.
Time passed very quickly,
Just one week before the "Lung Cancer Curing Ablation Agent" received the production approval and was ready to be launched on the market, a piece of heavy news suddenly leaked out among major lung cancer patient groups.
The national medical insurance officially issued a document to include "lung cancer curing ablation agent" in the medical insurance list. After it is officially launched, all patients will be able to enjoy the relevant medical insurance reimbursement policy as soon as possible!
After seeing the reimbursement amount, all lung cancer patients were moved!
"Lung cancer curing ablation agent" has been included in the Class B clinical drugs, and the reimbursement rate reaches 40%. That is to say, for a 15ml injection of 50,000 yuan, the national medical insurance will reimburse 20,000 yuan, and the individual will pay 30,000 yuan out of pocket, plus Surgery, hospitalization fees, etc. are reimbursed at a higher rate.
A solid ablation surgery for early stage lung cancer only costs a little over 30,000!
This price is even cheaper than traditional minimally invasive surgery!
For a time, intense discussions arose among major patient groups.
“I have to say that it is better for the country, which has really solved a huge financial burden for us!”
"Yes, but to be able to enter the medical insurance reimbursement catalog so quickly and smoothly, the initial pricing of Qingshan Pharmaceutical is also the most critical!"
"I am really lucky to live in China with Qingshan Pharmaceutical, it is great ”
……
This time, Zhang Yang didn’t care too much about the discussions on the Internet.
Since successfully negotiating with Liu Weiguo to enter the medical insurance catalog, his work focus has gradually returned to "Feiduqing Granules".
The clinical trials of Feiduqing Granules that were under way in the past few days have also come to an end. Zhang Yang couldn't sit still, so he came to the Third People's Hospital of Chengdu again.
As soon as Zhang Yang entered the office this time, Director Feng Gang and Feng knew the purpose of Zhang Yang's visit.
"Zhang Yang, what do you think I said about you? Why are you so concerned about the clinical trials of this granule?"
"But yesterday I showed you the clinical trials in advance. The data is just average, and there is no difference between it and other placebos. Only the T14-specific protein indicator you mentioned has a significant effect!”
“But it’s okay. The clinical trials of Chinese patent medicines are just a formality. I guess it’s just a matter of submitting these data. It will be approved soon.”
"Of course, I'm just talking about this in private. You know, clinical trials of Chinese patent medicines are just a formality."
(End of Chapter)